Physician
Island Medical Bluefield LLC
Island Medical Bluefield LLC was paid $1.40M by Medicaid between Jan 2018 and Dec 2018, across 13 billing codes. Its largest line is 99284, emergency room visit (serious) — 35% of everything it billed.
33Billing provider infoISLAND MEDICAL BLUEFIELD LLC
BLUEFIELD, WV 24701
BLUEFIELD, WV 24701
33aNPI1023561248assigned 07/25/2016
33bProvider typeEmergency Medicine Physician
28Total paid$1.40M
24GClaims18,078
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Emergency Medicine Physician providers in West Virginia
Rank by total paid#9 of 87
Median peer was paid$75K
This provider vs. median19×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18,078 | $1.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 35% | 5,727 | 4,890 | $494K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 34% | 4,126 | 3,292 | $483K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 3,186 | 2,788 | $225K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 9.1% | 1,304 | 1,050 | $127K |
| 1036F | 1.6% | 964 | 826 | $22K | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 1.1% | 620 | 533 | $15K |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 1.0% | 735 | 635 | $14K |
| 4004F | <1% | 742 | 643 | $13K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 467 | 87 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 85 | 36 | $862.23 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 51 | 40 | $782.63 |
| 99223 | Prolong inpt eval add15 m | <1% | 34 | 12 | $674.07 |
1 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 37 | $76.32 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDE LA PRIDA, JOAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Island Medical Athens LLC | Athens, AL | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.